HUMBOLDT PARK HEALTH NPI 1740417153

NPI Information

  • NPI: 1740417153
  • Provider Name: HUMBOLDT PARK HEALTH
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 14D2207954
  • Address: 1044 N FRANCISCO AVE
    CHICAGO, IL
    ZIP 60622
  • Phone: (773) 292-8200

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NPI Details

HUMBOLDT PARK HEALTH is a family medicine in Chicago, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HUMBOLDT PARK HEALTH NPI is 1740417153. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1044 N FRANCISCO AVE
CHICAGO, IL
ZIP 60622
Phone: (773) 292-8200
Fax: (773) 278-3899

The provider's authorized official is Dorothy Cheryl Erins .
The authorized official title is Credentialing Specialist and has the following contact phone number (269) 244-5256.

The CLIA number assigned to this NPI record is 14D2207954 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2009 and was last updated on 6/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3207V00000XObstetrics & GynecologyNo
4207Y00000XOtolaryngologyNo
5208600000XSurgeryNo
6208M00000XHospitalistNo
7213E00000XPodiatristNo
8367A00000XAdvanced Practice MidwifeNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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